The Joint United Nations Programme on HIV / AIDS, UNAIDS, launched an ambitious plan that aims to end the HIV epidemic in 2030. This strategy, which began this summer, requires 90% of people living with HIV are diagnosed, which 90% of those diagnosed are under treatment (81% of the total) and 90% of those under treatment (72,9%) reach undetectable viral load. UNAIDS states that without such an ambitious program, the number of people living with HIV worldwide will grow inexorably, simply because most people already living with the infection currently. Only with the treatment to achieve nearly universal levels will be possible to suppress the viral load and make non-infectious people in a way that gets a significant effect on public health, argues UNAIDS.
This provides evidence to indicate that this ambitious goal is attainable. Some countries, rich and poor, as they are approaching this level of coverage, from Rwanda, where HIV incidence (the rate of new infections) decreased to a fraction of previous values, Australia and the UK, where currently 62 % of all people living with HIV are under antiretroviral therapy and have a viral load below 50 copies / ml, according to two reports; 68% of gay men in the UK have achieved viral suppression, a value close to the UNAIDS goal.
As the most recent Public Health England (PHE) report shows, the factor that is preventing the achievement of the UNAIDS goal is the fact that there are still not many people in a situation of greater vulnerability to infection testing. including regular screening. The big problem in the UK is in heterosexual people in high-prevalence groups, especially black people, who continue to screen less often and are diagnosed later than gay men, sex workers, people who use injecting drugs and other vulnerable groups. The PHE notes that this is in part due to the fact that heterosexuals are less likely to attend sexual health clinics screening for HIV infection: in reality, they admit there is no way to establish how many screening tests do HIV primary care health care sought by the heterosexual population and how often.
Comment: This campaign document replaced the usual document with an overview of the global epidemic UNAIDS used to launch on World AIDS Day. Reinforces the idea that the objectives at first impossible to achieve can be achieved in many places. However, it also admits that only 60% of the required effect will come from the general treatment and viral suppression: the rest will have to come from improved preventive measures. It also accepts that in some parts of the world, such as Russia and Eastern Europe, the probability of achieving this is reduced - usually because people most in need of HIV treatment are those that are most discriminated against by the health system
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